OCONEE HEALTH CARE CENTER LLC (NPI# 1891049102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891049102 |
| Entity Type | Organization |
| Organization Name | OCONEE HEALTH CARE CENTER LLC |
| Practice Address |
535 Coliseum Dr Macon GA 31217-0104 |
| Mailing Address |
Po Box 26698 Macon GA 31221-6698 |
| Practice Telephone | 4789720277 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | FARHAN SIDDIQUI (CEO) |
| Authorized Official Telephone | 4789720277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
535 COLISEUM DR |
| City | MACON |
| State | GA |
| Zip Code | 31217-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
| 1770184830 | Brittnae Howard | Nurse's Aide | 535 Coliseum Dr, Macon, GA 31217-0104 | 2020-11-05 |
| 1215444948 | Doris S Veal | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2018-01-03 |
| 1265965644 | Fraulein Kyzer | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2017-04-04 |
| 1053856427 | Heather E Wallace | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2016-12-21 |
| 1003180357 | Regency Hospital Company of Macon LLC | Hospitalist | 535 Coliseum Dr, Macon, GA 31217-0104 | 2012-03-05 |
| 1649540451 | Latanya D Mcknight | Pharmacist | 535 Coliseum Dr, Macon, GA 31217-0104 | 2012-01-10 |
| 1962633164 | Lawrence Eugene Wilson Jr. | Obstetrics & Gynecology | 535 Coliseum Dr, Macon, GA 31217-0104 | 2009-08-05 |
| 1760560726 | Tarun Kumar Ghosh | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | 2006-11-01 |
| 1598754301 | Farhan Siddiqui | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
| 1417342072 | Mercuer University School of Medicine | Long Term Care Hospital | 1550 College St, Macon, GA 31207-1500 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235598095 | Select Specialty Hospital - Midtown Atlanta, LLC | Long Term Care Hospital | 705 Juniper St Ne, Ne, Atlanta, GA 30308-1307 | 2016-02-22 |
| 1801269618 | Drayton Medical Care Inc | Long Term Care Hospital | 326 Nelson St Sw, Atlanta, GA 30313-1349 | 2015-11-03 |
| 1740452820 | Landmark Hospital of Athens, LLC | Long Term Care Hospital | 775 Sunset Drive, Athens, GA 30606 | 2008-03-28 |
| 1750383584 | Regency Hospital Company of South Atlanta, LLC | Long Term Care Hospital | 1170 Cleveland Ave, Suite 217, East Point, GA 30344-3615 | 2005-08-11 |
| 1114928926 | Decatur Health Resources, Inc. | Long Term Care Hospital | 450 N Candler St, Decatur, GA 30030-2626 | 2005-08-02 |
| 1194722389 | Select Specialty Hospital - Augusta Inc | Long Term Care Hospital | 1537 Walton Way, Augusta, GA 30904-3764 | 2005-07-01 |
| 1720084734 | Affabilis LLC | Long Term Care Hospital | 616 19th St, Columbus, GA 31901-1528 | 2005-06-23 |
| 1285086579 | Lisa Ann Ruger | Long Term Care Hospital | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2016-07-11 |
| 1982090486 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals | Long Term Care Hospital | 6135 Roosevelt Highway, Warm Springs, GA 31830-0280 | 2015-04-10 |
| 1427468362 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Long Term Care Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OCONEE HEALTH CARE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.